Forms

Warning!

Do not print this page.

Please complete the form below and then click Print Form at the bottom and then print the PDF. Only print the PDF that's generated for you. If you print this page, you will need to fill out a paper form at our office before your appointment.

A completed questionnaire is required to complete your medical. There are 3 options:

Complete the form online (below), print it and bring it with you.

Download a PDF version (below), fill it out and bring it with you.

Complete the form once you arrive at the office.

If you’d like to complete the form online or print a PDF version, start by selecting if this is your first visit or if you’ve seen Dr. Adams before.

After completing the form below, you’ll be required to print the PDF and bring it with you. We do not receive an electronic copy. Please do not email it. This is for your privacy and security.

If you prefer, you can download a PDF version and complete the questionnaire by hand.

If you prefer, you can download a PDF version and complete the questionnaire by hand.

Clicking Print Form will open a new window with the completed questionnaire as a PDF. Please print both pages and bring the printed version with you to your appointment. We do not receive an electronic copy.